NPI | 1922628122 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TN 73787) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036170437) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-04-17 |
Last Update Date | 2025-09-09 |